Predicting resting energy expenditure among athletes: a systematic review.

Resting energy expenditure (REE) is often estimated in athletes using equations developed from the general population however, the application in athletic-specific populations is questionable. The aim of this systematic review was to compare measured REE and estimations of REE obtained from non-sport participants and athletes. Inclusion criteria met PICO criteria: population - participants involved in organized sport; intervention - resting energy expenditure was obtained by calorimetry; comparator - equations to estimate REE; outcomes - comparisons between measured REE and predicted REE. The search was conducted in Web of Science all databases, PubMed and Scopus. Comparisons between measured REE and predicted REE as well the potential models to estimate REE developed among athletes were summarized. Allowing for variation among studies, equations developed within general populations were not comparable to REE measured by calorimetry in athletes. Equations across athletic samples were obtained but, few studies tested their validity across independent samples of sport participants. Nevertheless, equations developed within athlete populations seem to be widely unused in sports nutrition literature and practice. De Lorenzo and ten Haaf equations appear to present an acceptable agreement with measured REE. Finally, equations used among adults should not be generalised for youth sport participants.

Assessment of skeletal age in youth female soccer players: Agreement between Greulich-Pyle and Fels protocols.

OBJECTIVE: The purpose of the study was to evaluate the agreement between the Fels and Greulich-Pyle methods for the assessment of skeletal age (SA) in female youth soccer players. METHODS: The sample included 441 Portuguese players 10.08-16.73 years of age who regularly participated in organized and competitive soccer. Standardized radiographs of the left hand-wrist were obtained and analyzed by an experienced examiner. SA was estimated with the Fels and Greulich-Pyle (GP) methods. Differences between SA and chronological age (CA) were used to define skeletal maturity groups: late, average and early maturing. In addition to descriptive statistics, Cohen's kappa and Lin concordance correlation coefficients were used to evaluate agreement between methods. RESULTS: Intraindividual differences in SA based on the two methods varied between 0.10 to 1.47 years among age groups with larger mean differences at older ages. Agreement of maturity classifications between methods was 74% at younger ages (under-13: kappa = 0.48; under-14: kappa = 0.39; Lin CCC = 0.68) and declined with increasing CA (under-17: 19% agreement; kappa = 0.001; Lin CCC = 0.11). About 19% of the total sample was skeletally mature with the Fels method and an SA was not assigned; in contrast, no players were skeletally mature with the GP method. CONCLUSIONS: GP SAs were systematically lower than Fels SAs among female soccer players. Intraindividual variability in SAs between methods was considerable. The findings highlight the impact of method on estimates of maturity status.